{% extends "layout.html.twig" %}

{% block title "Adresse change" %}


{% block content %}
	<form role="form">
		<div class="row">
			<div class="col-md-12">
				<h2>Adresse <span id="aj-pers-image"><img src="/bundles/acmeperson/images/ajax-loader.gif" /></span></h2>
				<p>Hier kannst Du Deine Adresse ändern</p>
				<p><span id="pers-message"></span></p>
			</div>
		</div>	
		<div class="row">
			<div class="col-md-6">
				<div class="form-group">
    				<label for="firstname">Vorname*</label>
    				<input type="text" class="form-control" id="firstname" value="{{ person.firstname }}" placeholder="Vorname">
  				</div>
			</div>
			<div class="col-md-6">
				<div class="form-group">
    				<label for="lastname">Nachname*</label>
    				<input type="text" class="form-control" id="lastname" value="{{ person.lastname }}" placeholder="Nachname">
  				</div>
			</div>
		</div>	
		<div class="row">
			<div class="col-md-12">
				<div class="form-group">
    				<label for="street">Strasse*</label>
    				<input type="text" class="form-control" id="street" value="{{ person.street }}" placeholder="Strasse">
  				</div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-6">
				<div class="form-group">
    				<label for="postcode">Plz*</label>
    				<input type="text" class="form-control" id="postcode" value="{{ person.postcode }}" placeholder="Plz">
  				</div>
			</div>
			<div class="col-md-6">
				<div class="form-group">
    				<label for="city">Ort*</label>
    				<input type="text" class="form-control" id="city" value="{{ person.city }}" placeholder="Ort">
  				</div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-6">
				<div class="form-group">
    				<label for="contry">Land</label>
    				<input type="text" class="form-control" id="country" value="{{ person.country }}" placeholder="Land">
  				</div>
			</div>
			<div class="col-md-6">
			</div>
		</div>
		<div class="row">
			<div class="col-md-12">
				<p>* Pflichtfelder
			</div>
		</div>
		<button type="submit" class="btn btn-default" id="sendpersdata">Submit</button>
		
	</form>
{% endblock %}


